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	<front>
		<journal-meta>
			<journal-id journal-id-type="publisher-id">estpsi</journal-id>
			<journal-title-group>
				<journal-title>Estudos de Psicologia (Campinas)</journal-title>
				<abbrev-journal-title abbrev-type="publisher">Estud. psicol. (Campinas)</abbrev-journal-title>
			</journal-title-group>
			<issn pub-type="ppub">0103-166X</issn>
			<publisher>
				<publisher-name>PUC-Campinas or Programa de Pós-Graduação em Psicologia, Pontifícia Universidade Católica de Campinas</publisher-name>
			</publisher>
		</journal-meta>
		<article-meta>
			<article-id pub-id-type="publisher-id">00001</article-id>
			<article-id pub-id-type="doi">10.1590/1982-02752016000400001a</article-id>
			<article-categories>
				<subj-group subj-group-type="heading">
					<subject>Presentation</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>Thematic section: Psychology in the hospital context</article-title>
			</title-group>
			<contrib-group>
				<contrib contrib-type="author">
					<name>
						<surname>Enumo</surname>
						<given-names>Sônia Regina Fiorim</given-names>
					</name> 
            <xref ref-type="aff" rid="aff1"/>
            </contrib>
				<aff id="aff1">
					<institution content-type="original">Associate Editor, Pontifícia Universidade Católica de Campinas, Center for Life Science Graduate Program in Psychologyand Graduate Program in Health Sciences.</institution>
					<institution content-type="normalized">Pontifícia Universidade Católica de Campinas</institution>
					<institution content-type="orgname">Pontifícia Universidade Católica de Campinas</institution>
					<institution content-type="orgdiv1">Center for Life Science</institution>
					<institution content-type="orgdiv2">Graduate Program in Psychologyand</institution>
					<country country="BR">Brazil</country>
				</aff>
			</contrib-group>
			<pub-date pub-type="epub-ppub">
				<season>Oct-Dec</season>
				<year>2016</year>
			</pub-date>
			<volume>33</volume>
			<issue>04</issue>
			<fpage>565</fpage>
			<lpage>567</lpage>
			<permissions>
				<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/" xml:lang="en">
					<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License</license-p>
				</license>
			</permissions>
			<counts>
				<fig-count count="0"/>
				<table-count count="0"/>
				<equation-count count="0"/>
				<ref-count count="19"/>
				<page-count count="3"/>
			</counts>
		</article-meta>
	</front>
	<body>
		<p>The inclusion of Psychology into the health context dates back to 1910s. In 1911, the American Psychological Association held discussions regarding the relationship between Psychology and medical education and practice (<xref ref-type="bibr" rid="B19">Winett, King, &amp; Altman, 1989</xref>). Traditionally, a clinical intervention model that encompassed Hospital Psychology has been adopted by this field, including in Brazil, where academic research on this topic began in the 1980s (<xref ref-type="bibr" rid="B3">Camon, 1984</xref>; <xref ref-type="bibr" rid="B13">Romano, 1990</xref>). However, changes in the understanding of the relationship between health and disease, with consequent changes in the proposals concerning the professional practice and role of psychologists, go beyond the individualized clinical care model. There have been changes since the organization of the field of Health Psychology in the 1970s (<xref ref-type="bibr" rid="B9">Matarazzo, 1980</xref>), along with the development of directly related fields, such as Pediatric Psychology (<xref ref-type="bibr" rid="B5">Crepaldi, Linhares, &amp; Perosa, 2006</xref>; <xref ref-type="bibr" rid="B12">Robert &amp; Steele, 2009</xref>), Psycho-oncology (<xref ref-type="bibr" rid="B8">Kazak et al., 2007</xref>), and Psychoneuroimmunology (<xref ref-type="bibr" rid="B16">Segerström, 2012</xref>; <xref ref-type="bibr" rid="B18">Slavich &amp; Cole, 2013</xref>). All of these fields depend on the interaction of knowledge derived from branches of Biology (Epigenetics and Neurosciences), Ecology (physical and social environments), and Health and Development (learning, behavior, physical, mental, and social well-being) from a Life Cycle Science perspective (<xref ref-type="bibr" rid="B1">Braveman &amp; Barclay, 2009</xref>; <xref ref-type="bibr" rid="B6">Dich et al., 2015</xref>; <xref ref-type="bibr" rid="B11">Miller, Chen, &amp; Parker, 2011</xref>; Shonkoff, Garner, The Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, &amp; Section on Developmental and Behavioral Pediatrics, 2012). They also depend on the Developmental Psychopathology (<xref ref-type="bibr" rid="B14">Rutter &amp; Sroufe, 2000</xref>), Health Psychology, Cognitive Science, Public Health, and Social Sciences, i.e., all those included in Human Development Sciences (<xref ref-type="bibr" rid="B15">Sameroff, 2010</xref>; Shonkoff et al., 2012).</p>
		<p>Psychology professional practice in the medical context should therefore be interdisciplinary and multidisciplinary. Therefore, it changes the settings of work and research, which is carried out in waiting rooms, multiple occupancy patient rooms, outpatient clinic, emergency rooms, intensive care units, newborn nursery, and in individual rooms with rooming-in care, before and after invasive medical procedures, with patients of different ages on pre-consultation lists, as well as their families and caregivers and healthcare professionals (Boering &amp; Crepaldi, 2013; Crepaldi, Rabuske, &amp; Gabarra, 2006; <xref ref-type="bibr" rid="B7">Kazak, 2006</xref>).</p>
		<p>Focusing on what was discussed and seeking to collaborate with the dissemination of knowledge and professional training and education in this field, this thematic section starts with a historical and conceptual article followed by discussions on developmental impacts resulting from early exposure to this stressful environment. Pain is one of the major stressors in this context, and it is directly addressed in two articles concerning pain management by healthcare professionals in a Neonatal Intensive Care Unit and also focusing on the field of Psychological Assessment in Psychology Health, discussing its association with personality traits. Following a timeline of situations involving the provision of care by psychologists in the hospital setting, the articles in this section concern studies on prenatal care with pregnant women at high risk and parents' coping strategies and fear of death of hospitalized children with cancer.</p>
		<p>The introductory article, by Adriano Valério dos Santos Azevêdo and Maria Aparecida Crepaldi (<italic>Universidade Federal de Santa Catarina</italic>), presents the historical, conceptual, and practical aspects of psychology within a general hospital in the United States of America and in Brazil. It discusses psychological evaluation and intervention in the hospital considering the triad: patients, family, and healthcare team.</p>
		<p>The second article, by Maria Beatriz Martins Linhares (School of Medicine of Ribeirão Preto, <italic>Universidade de São Paulo</italic>), presents theoretical-conceptual models about the impact of early stress on child development and health. However, it goes beyond the conceptual approach by presenting studies on Pediatric Psychology carried out in a public teaching hospital with hospitalized neonates and children whose clinical or medical treatment conditions involved highly stressful situations.</p>
		<p>The article by Ana Cristina Barros da Cunha, José Paulo Pereira Junior, Cláudia Lúcia Vargas Caldeira and Vanessa Miranda Santos de Paula Carneiro (<italic>Universidade Federal do Rio de Janeiro</italic>) investigated the impact of the moment of diagnosis of fetal malformation on the mental health of pregnant women receiving prenatal care in the university Maternity Hospital (<italic>Universidade Federal do Rio de Janeiro</italic>).</p>
		<p>Using a phenomenological approach, the fourth article in this section, by Sheila Maria Mazer-Gonçalves, Elizabeth Ranier Martins do Valle and Manoel Antônio dos Santos (Graduate Program in Psychology, <italic>Universidade de São Paulo</italic> - <italic>Ribeirão Preto</italic>), sought to understand the significance attributed by mothers whose children have completed cancer treatment to the death of other children undergoing cancer treatment at the hospital.</p>
		<p>The fifth article, by Marina Kohlsdorf, Áderson Luiz Costa Junior and Felipe Diniz Marques (<italic>Universidade de Brasília</italic>), is a cross-sectional study that addressed the effects of pre-consultation lists on the communicative behavior of caregivers and children. Having found recommendable and instructive results for the practice of psychologists in hospital settings, the authors showed that the procedure was associated with specific doubts of caregivers concerning dietary recommendations, coping with side effects, child development, biological aspects of cancer, and school activities. This study presented a low-cost procedure that can contribute to communication in pediatric settings.</p>
		<p>In a study carried out with researchers from the <italic>Universidade Federal do Espírito Santo</italic> and the <italic>Pontifícia Universidade Católica de Campinas</italic>, Sandra Willéia Martins, Sônia Regina Fiorim Enumo and Kely Maria Pereira de Paula analyzed the influence of organizational factors on the engagement of healthcare professionals working in Neonatal Intensive Care Unit in effective pain management practices, supporting interventions aimed at humanized neonatal care.</p>
		<p>Presenting another study on pain in the hospital context, this section ends with the article by Lucas de Francisco Carvalho, Ricardo Primi and Cláudio Garcia Capitão (<italic>Universidade São Francisco</italic>), which evaluates the personality characteristics of patients with chronic pain and compares them with those of patients without this condition. Contributing to the research in the field of Health Psychology, the analysis included the use of two scales that are adequate to the clinical context, providing relevant information to professionals in this field.</p>
		<p>These seven articles illustrate the possibilities of carrying out studies in the hospital context by presenting information and results that can support evidence-based practice, ensuring the provision of good quality psychological services to the population. This is a way to &quot;... contribute to the knowledge construction process and to the dissemination of scientific information that can provide guidance in the care offered to individuals in an effective and ethical manner&quot; (<xref ref-type="bibr" rid="B10">Melnik, Souza, &amp; Carvalho, 2014</xref>, p.79).</p>
	</body>
	<back>
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	<!--<sub-article article-type="translation" id="s1" xml:lang="pt">
		<front-stub>
			<article-categories>
				<subj-group subj-group-type="heading">
					<subject>Apresentação</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>Seção temática: Psicologia no contexto hospitalar</article-title>
			</title-group>
			<contrib-group>
				<contrib contrib-type="author">
					<name>
						<surname>Enumo</surname>
						<given-names>Profa. Dra. Sônia Regina Fiorim</given-names>
					</name> 
            <xref ref-type="aff" rid="aff01"/>
            </contrib>
				<aff id="aff01">
					<institution content-type="original">Editora Associada, Pontifícia Universidade Católica de Campinas, Centro de Ciências da Vida, Programa de Pós-Graduação em Psicologia como Profissão e Ciência.</institution>
				</aff>
			</contrib-group>
		</front-stub>
		<body>
			<p>A inserção da Psicologia no contexto da saúde é antiga, pois a própria <italic>American Psychological Association</italic>, em 1911, já realizava discussões sobre as relações entre Psicologia e a formação médica e sua prática (<xref ref-type="bibr" rid="B19">Winett, King, &amp; Altman, 1989</xref>). Tradicionalmente, adotou-se um modelo de intervenção clínica, que se estendeu à Psicologia Hospitalar, inclusive no Brasil, onde as publicações se iniciaram na década de 1980 (<xref ref-type="bibr" rid="B3">Camon, 1984</xref>; <xref ref-type="bibr" rid="B13">Romano, 1990</xref>). Contudo, mudanças nas formas de compreensão das relações entre saúde-doença, com consequentes alterações nas propostas de atuação do psicólogo, transcendem o modelo de atendimento clínico individualizado. Essas mudanças vêm ocorrendo desde a organização da área da Psicologia da Saúde na década de 1970 (<xref ref-type="bibr" rid="B9">Matarazzo, 1980</xref>), acompanhando o desenvolvimento das áreas diretamente relacionadas, como a Psicologia Pediátrica (<xref ref-type="bibr" rid="B5">Crepaldi, Linhares, &amp; Perosa, 2006</xref>; <xref ref-type="bibr" rid="B12">Robert &amp; Steele, 2009</xref>), a Psico-oncologia (<xref ref-type="bibr" rid="B8">Kazak et al., 2007</xref>), a Psiconeuroimunologia (<xref ref-type="bibr" rid="B16">Segerström, 2012</xref>; <xref ref-type="bibr" rid="B18">Slavich &amp; Cole, 2013</xref>). Todas essas áreas dependem da interseção de conhecimentos derivados de ramos da Biologia (Epignética e Neurociências), da Ecologia (ambiente físico e social), da Saúde e Desenvolvimento (aprendizagem, comportamento, bem-estar físico, mental e social), em uma perspectiva das Ciências do Ciclo de Vida (<xref ref-type="bibr" rid="B1">Braveman &amp; Barclay, 2009</xref>; <xref ref-type="bibr" rid="B6">Dich et al., 2015</xref>; <xref ref-type="bibr" rid="B11">Miller, Chen, &amp; Parker, 2011</xref>; Shonkoff, Garner, The Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, &amp; Section on Developmental and Behavioral Pediatrics, 2012). Dependem também da Psicopatologia do Desenvolvimento (<xref ref-type="bibr" rid="B14">Rutter &amp; Sroufe, 2000</xref>), da própria Psicologia da Saúde, das Ciências Cognitivas, da Saúde Pública, das Ciências Sociais, enfim, todas que compõem as Ciências do Desenvolvimento Humano (<xref ref-type="bibr" rid="B15">Sameroff, 2010</xref>; Shonkoff et al., 2012).</p>
			<p>Exige-se, assim, que a atuação profissional nesse contexto seja inter e multidisciplinar. Muda-se, por conseguinte, o próprio local de atuação e pesquisa, passando a ser comum o fato de parte das pesquisas serem realizadas na sala de espera das consultas médicas, em enfermarias, ambulatórios, emergências, unidades de tratamento intensivo, berçário, alojamento conjunto, antes e durante procedimentos médicos invasivos, com pacientes em listas de pré-consulta, de diversas faixas etárias, seus cuidadores familiares e os profissionais de saúde (Boering &amp; Crepaldi, 2013; Crepaldi, Rabuske, &amp; Gabarra, 2006; <xref ref-type="bibr" rid="B7">Kazak, 2006</xref>).</p>
			<p>Com este enfoque, procurando colaborar com a divulgação do conhecimento e a formação nessa área, esta seção temática é aberta com um artigo histórico-conceitual, discutindo-se, em seguida, como analisar os impactos desenvolvimentais decorrentes de ser submetido precocemente a este ambiente estressante. Um dos grandes estressores nesse contexto é a dor, cujo tema é abordado diretamente em dois artigos, do ponto de vista de seu manejo pelos profissionais de saúde em Unidade de Terapia Intensiva Neonatal, e também com um enfoque centrado na área da Avaliação Psicológica em Psicologia da Saúde, discutindo-se suas relações com características de personalidade. Seguindo uma linha temporal de momentos passíveis de atuação do psicólogo no ambiente hospitalar, os artigos desta seção apresentam estudos realizados no atendimento pré-natal, com gestantes em situação de risco gestacional, chegando ao enfrentamento do medo da morte por câncer em pais de crianças hospitalizadas.</p>
			<p>Abre esta seção temática o artigo de Adriano Valério dos Santos Azevêdo e Maria Aparecida Crepaldi (Universidade Federal de Santa Catarina), apresentando os aspectos históricos, conceituais e práticos da Psicologia no hospital geral nos Estados Unidos da América e no Brasil. Discutem a avaliação e a intervenção psicológica no hospital considerando a tríade: paciente, família e equipe de saúde.</p>
			<p>O segundo artigo, elaborado por Maria Beatriz Martins Linhares (Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo), apresenta modelos teóricos-conceituais sobre o impacto do estresse precoce no desenvolvimento e na saúde. O conteúdo vai, porém, além do enfoque conceitual, ao apresentar pesquisas na área de Psicologia Pediátrica realizadas em um hospital universitário público, com neonatos e crianças hospitalizadas, cujas condições clínicas ou de tratamento médico envolviam situações altamente estressoras.</p>
			<p>O artigo de Ana Cristina Barros da Cunha, José Paulo Pereira Junior, Cláudia Lúcia Vargas Caldeira e Vanessa Miranda Santos de Paula Carneiro (Universidade Federal do Rio de Janeiro) analisa o impacto do momento do diagnóstico de malformação fetal sobre a saúde mental de gestantes em atendimento pré-natal na Maternidade-Escola da Universidade Federal do Rio de Janeiro.</p>
			<p>Com um enfoque fenomenológico, o quarto artigo desta seção, elaborado por Sheila Maria Mazer-Gonçalves, Elizabeth Ranier Martins do Valle e Manoel Antônio dos Santos (Programa de Pós-Graduação em Psicologia, Universidade de São Paulo - Ribeirão Preto) procurou compreender os significados atribuídos por mães de crianças que terminaram o tratamento oncológico à morte de outras crianças com câncer, no contexto hospitalar.</p>
			<p>O quinto artigo foi elaborado por Marina Kohlsdorf, Áderson Luiz Costa Junior e Felipe Diniz Marques (Universidade de Brasília), com base em pesquisa de delineamento transversal, mostrando os efeitos de listas de pré-consulta sobre comportamento comunicativo de cuidadores e crianças. Com resultados prescritivos para a prática no hospital, os autores mostram que o procedimento foi associado a dúvidas específicas dos cuidadores, relativas às recomendações alimentares, a lidar com efeitos colaterais, ao desenvolvimento da criança, aos aspectos biológicos do câncer e às atividades escolares. Este trabalho apresenta um procedimento de baixo custo, que pode contribuir para a comunicação em contextos pediátricos.</p>
			<p>Em pesquisa realizada com pesquisadores da Universidade Federal do Espírito Santo e da Pontifícia Universidade Católica de Campinas, Sandra Willéia Martins, Sônia Regina Fiorim Enumo e Kely Maria Pereira de Paula analisam a influência do fator organizacional no engajamento de profissionais de saúde atuando em Unidade de Terapia Intensiva Neonatal em práticas adequadas de alívio da dor do neonato, subsidiando intervenções voltadas à assistência neonatal humanizada.</p>
			<p>Com outro artigo analisando a questão da dor no contexto hospitalar, esta seção se encerra com o artigo de Lucas de Francisco Carvalho, Ricardo Primi e Cláudio Garcia Capitão (Universidade São Francisco), que avaliam as características da personalidade em pacientes com dor crônica, de forma comparativa a pessoas sem esse diagnóstico. Contribuindo para a área da avaliação em Psicologia da Saúde, são analisadas duas escalas, que se mostraram adequadas para o contexto clínico, agregando informações relevantes para o profissional da área.</p>
			<p>Esses sete artigos ilustram possibilidades de estudos no contexto hospitalar, com informações e resultados que podem subsidiar uma prática baseada em evidências, garantindo, assim, a qualidade dos serviços psicológicos prestados à população. Esta é uma forma de &quot;... auxiliar no processo de construção do conhecimento e da difusão de informações científicas que possam orientar o cuidado oferecido aos indivíduos de forma efetiva e ética&quot; (<xref ref-type="bibr" rid="B10">Melnik, Souza, &amp; Carvalho, 2014</xref>, p.79).</p>
		</body>
	</sub-article>-->
</article>